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Instructions:
• Read the vignette that corresponds with this assignment
• Summarize the applicable biopsychosocial and MSE information; use a narrative style that would be included in a formal report, although lists and bullet points may be appropriate.
• Briefly summarize the differential diagnoses considered, including the rationale for ruling each out as a diagnosis. Have at least 3 differentials. (Oppositional Defiant Disorder, Intermittent Explosive Disorder, Conduct Disorder)
• Write the full, properly formatted diagnosis, (F91.2 Adolescent-on set type, With limited Prosocial emotions, Severe)
• including applicable “other conditions that may be a focus of clinical attention” and their respective ICD-10 codes. (T74.11XD Subsequent encounter and Z56.0 Unemployment)
• Summarize an assessment option, including a published instrument, that may be helpful in assessing for this disorder. You should have at least 1 peer-reviewed article to support this.
• Summarize an intervention that has demonstrated efficacy in treating this disorder. You should have at least 1 peer-reviewed article to support this.
• Summarize predisposing factors, across at least two domains, that may contribute to the development of this disorder and the prognosis for clients with this disorder. Be sure to consider this particular client’s experiences and characteristics to make the prognosis and predisposing factors specific (i.e., use specific information from the vignette to support why you think this may be a cause for this client).
Additional notes:
• The general format (headings, citations, etc.) should comply with APA; however, you are allowed to use bulleted lists or other formats to clearly convey your client’s information. A title page is not necessary.
• It is important to be concise (your clinical teammates, judges, insurance companies, etc. will not be able to read volumes). You should be able to summarize the history and MSE in no more than 1-2 pages, and the differential diagnostic section and summary of disorder, assessment, and treatment, etc. should be summarized in 2 pages.
• Writing should be formal and professional, free of errors and shorthand clinical “speak” (i.e., this should not be in a progress-note style with sentence fragments, abbreviations, etc.).
Too Tired? Too Anxious? Need More Time? We’ve got your back.